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ch. 32
Obstetric and gynecologic emergencies
Question | Answer |
---|---|
abortion | spontaneous (miscarriage) or induced termination of pregnancy |
abruptio placentae | a condition in which the placenta separates from the uterine wall; a cause of prebirth bleeding |
afterbirth | the placenta, membranes of the amniotic sac, part of the umbilical cord, and some tissues from the lining of the uterus that are delivered after the birth of the baby |
amniotic sac | the "bag of waters" that surrounds the developing fetus |
Braxton-Hicks contractions | irregular prelabor contractions of the uterus |
breech presentation | when the baby's buttocks or both legs appear first during birth |
cephalic presentation | when the baby appears headfirst during birth; this is the normal presentation |
cervix | the neck of the uterus at the entrance to the birth canal |
crowning | when part of the baby is visible through the vaginal opening |
eclampsia | a severe complication of pregnancy that produces seizures and coma |
ectopic pregnancy | when implantation of the fertilized egg is not in the body of the uterus, occurring instead in the fallopian tube (oviduct), cervix, or abdominopelvic cavity |
embryo | the baby from fertilization to 8 weeks of development |
fallopian tube | the narrow tube that connects the ovary to the uterus, also called the oviduct |
fetus | the baby from 8 weeks of development to birth |
induced abortion | expulsion of a fetus as a result of a deliberate actions taken to stop the pregnancy |
labia | soft tissues that protect the entrance to the vagina |
labor | the three stages of the delivery of a baby that begin with the contractions of the uterus and end with the expulsion of the placenta |
lightening | the sensation of the fetus moving from the high in the abdomen to low in the birth canal |
When assisting with a delivery in the field, which of the following should be done as the head begins to emerge from the vagina? | apply gentle pressure to the head with your gloved hand |
What is the temporary organ of pregnancy, which functions to supply the developing fetus with oxygen and nutrients? | placenta |
Which of the following is the correct technique to check for crowning in the assessment of a woman in labor? | Cover her with a sheet, have her remove her underwear, wait for a contraction, and then visualize the vaginal opening. |
Your pregnant patient is in active labor. She has been lying on her back throughout her labor and is experiencing signs and symptoms of shock. Her vital signs are pulse rate 118, respirations 22, blood pressure 96/62, and skin cool and diaphoretic. The | place a rolled blanket under her left hip to displace the uterus |
During which stage of labor is the baby born? | second |
By which of the following means does the fetus's blood pick up nourishment from the mother? | diffusion |
You respond to a call for a patient in active labor with her second child. Your interview with the patient shows that she is 40 weeks pregnant and has been in active labor for several hours. You determine that her vital signs are all within normal limits. | prepare to deliver the baby on-scene |
Normal maternal blood loss during delivery of an infant usually does not exceed how much? | 500 cc |
When clamping the umbilical cord, the clamp closest to the baby should be approximately ________ inch(es) from the infant's body. | 10 |
Which of the following is true concerning prehospital delivery of twins? | The infants will probably be smaller than a single infant and need attention in keeping them warm. |